Individual provider · Type 1 NPI

Mary Wiseman

Registered Nurse · Alton, IL

NPI number 1174992952 Active

Practice location

12 Lakeridge Trl
Alton, IL 62002-8864

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X129046 (MO)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1174992952

Mary Wiseman's National Provider Identifier is 1174992952, issued on Sep 22, 2015. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Alton, IL. The record was last updated on Sep 22, 2015.